Individual
STACY LEE ROLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8400 WASHINGTON AVE, MOUNT PLEASANT, WI 53406-3735
(262) 884-4000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
178021-30
WI
363LF0000X
Family Nurse Practitioner
Primary
16749-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100373475
—
WI
Enumeration date
09/15/2022
Last updated
07/14/2026
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